Individual provider Active NPI

Gerald Clark Hoover Jr., D.O.

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1679804645
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6186 Issued in CA
Practice address
2740 S Elm Ave
Fresno, CA 93706
Phone
(559) 457-5200
Fax
(559) 457-5290
NPI assigned
Jan 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS016700 PA
General Practice Physician 208D00000X 20A6186 CA
Family Medicine Physician 207Q00000X 20A6186 CA Primary

Addresses

Primary practice location

2740 S Elm Ave
Fresno, CA 93706

Mailing address

2740 S Elm Ave
Fresno, CA 93706-5435
Phone (559) 457-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031111000872 CA Practitioner - Family Practice 1850204181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Healthcare NetworkGroup PAC ID 6305756339, shared by 34 NPIs, 91 clinicians

Practice addresses (Care Compare)

1107 W Poplar Ave
Porterville, CA 93257-5839
Phone (559) 781-7242

31180 Rd
Visalia, CA 93291-9672
Phone (559) 737-4700

41651 Sierra Dr
A
Three Rivers, CA 93271-9678
Phone (559) 561-4683

4177 Ave
Suite 368
Traver, CA 93673
Phone (559) 737-4700

7060 N Recreation Ave
Suite 101
Fresno, CA 93720-8022
Phone (877) 960-3426

Hospital & facility affiliations

  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
6186CAMDProfessional Counselor
20A6186CAMDFamily Medicine Physician
OS016700PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Oct 29, 2018 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Oct 29, 2018 Accepting new patients
Family Healthcare Network Past Accepting new patients
Chase Dennis Emergency Medical Group Inc Family Medicine Past Accepting new patients
Twin Cities Community Hospital, Inc. Past Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients

Locations

31180 Road 72
Visalia, CA 93291
Phone (559) 651-2301

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

Interoperability endpoints

  • Direct secure messaging: gerald.hoover@fhcn.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CCECCA

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1679804645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 S ELM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937065435",
            "telephone_number": "559-457-5200",
            "fax_number": "559-457-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 S ELM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93706",
            "telephone_number": "559-457-5200",
            "fax_number": "559-457-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "GERALD",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-14",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS016700",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A6186",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.